Journal of Rehabilitation Medicine: Special Issue 50-4bokBW | Page 46

348 J. P. Engkasan et al.

in cooperation with the head of clinical services of the Cheras Rehabilitation Hospital( YMY) and the Executive Director of SOCSO at Malacca( HH). The analysis was supported by a UMvisiting professor with a background in PRM, health policy and management, and expertise in applying the ICF in healthcare, and who serves as advisor to the International Society of Physical and Rehabilitation Medicine’ s( ISPRM’ s) liaison committee to WHO( GS). The situation analysis involved expert consultations and site visits.

At the Department of Rehabilitation Medicine, UMMC, responsible PRM consultants and rehabilitation professionals gave a structure presentation to the project leaders at this site( LAL, JPE, SA, GS) of their services, the numbers of enrolled patients, the workforce, intervention programmes and assessment tools, as well as their current and planned research agenda. The opportunities created by the hospital electronic health information system were discussed with the Deputy Director( Clinical) of the UMMC( Professor Nazirah Hasnan).

For the situation analysis at the Ministry of Health( MOH), the site visits took place at Cheras Rehabilitation Hospital and at the major district hospital at Sungai Buloh. At both locations the services provided, the assessment tools used and quality management and research efforts were presented comprehensively to the hospital leadership and the visiting experts( JPE, GS, SA). Information was provided with respect to the current and future possibilities for documentation using an electronic health information system.

For the situation analysis at SOCSO, its executive director( HH), and its responsible PRM physician( OKG) and rehabilitation manager( TEW) presented the SOCSO’ s mission and presented and discussed its vocational rehabilitation programme, the current state of implementation of the ICF and assessment tools and the electronic health record system with the expert team( JPE, SA, GS).

RESULTS Academic centres

The UMMC is currently the only 1 of 5 academic medical centres in Malaysia that offers comprehensive rehabilitation services. Until now, the UMMC has also been the only training centre for PRM specialists in Malaysia; in 2018 the University Technology MARA( UiTM) will also develop rehabilitation services and a PRM trainee programme. The services at UMMC are thus representative of the services provided by academic centres under the auspices of the Ministry of Higher Education in Malaysia. These services are summarized in Table I, and a detailed description is available in Table SII 1.

It was found that all rehabilitation professionals use standardized data collection tools, including clinical tests, expert assessments( e. g. the modified Barthel index( 20)) and questionnaires( e. g. SF36( 21) or KOOS( 22)). While the teams are well acquainted with these data collection tools, there is currently no standardized documentation system based on the ICF or standardized timepoints with few exceptions.

The electronic health record system allows for the addition of forms accepted as standards by the hospital administration. Also, scoring algorithms can be implemented, allowing for immediate access to scores calculated based on data entered on a form.

Ministry of Health

Under the auspices of the MOH there is a single comprehensive free-standing rehabilitation facility; the Cheras Rehabilitation Hospital. It serves as a reference centre for rehabilitation services provided at state and district hospitals by the MOH. Table I gives an overview of the organization of health services provided by the MOH. In addition to the rehabilitation services provided at Cheras

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